Provider Demographics
NPI:1144612615
Name:JOHNSON COUNTY HEALTH DEPARTMENT
Entity Type:Organization
Organization Name:JOHNSON COUNTY HEALTH DEPARTMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:JOHNSON COUNTY HEALTH OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRAIG
Authorized Official - Middle Name:A
Authorized Official - Last Name:MOORMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-346-4383
Mailing Address - Street 1:86 W COURT ST
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:IN
Mailing Address - Zip Code:46131-2304
Mailing Address - Country:US
Mailing Address - Phone:317-346-4368
Mailing Address - Fax:317-736-5264
Practice Address - Street 1:86 W COURT ST
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:IN
Practice Address - Zip Code:46131-2304
Practice Address - Country:US
Practice Address - Phone:317-346-4368
Practice Address - Fax:317-736-5264
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-20
Last Update Date:2015-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare